FAQ Directory: Long-Term Services and Supports Distinction for Health Plans

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8.15.2019 Documentation for ME 5, Element C and ME 6, Element C Will NCQA review an organization’s policies and procedures for ME 5, Element C and ME 6, Element C?

For ME 5, Element C, NCQA reviews the organization’s data collection methodology. This may be in policies and procedures or described as part of the organization’s reports. NCQA also reviews the organization’s most recent assessment and actions reports completed at least once during the look-back period.

Similarly, for ME 6, Element C, NCQA reviews the organization’s data collection methodology. This may be in policies and procedures or described as part of the organization’s reports. NCQA also reviews the organization’s annual evaluation report and improvement of identified deficiencies.

HP 2020